AMA Clinical Examples in Radiology - 2014 Issue 3 (Summer)
Nerve Block Injection
CLINICAL EXAMPLE 2 Nerve Block Injection CLINICAL HISTORY 67-year-old male with pancreatitis complains of increased abdominal pain for three months. PROCEDURE Computed tomography (CT)-guided bilateral celiac ganglion block. TECHNIQUE 99144 After discussing the risks, benefits, and alternatives to the procedure, witnessed informed consent was obtained. The patient was brought to the CT suite and placed in the prone position on the CT table. After a preprocedural "time out" was performed to verify patient identity, procedure, and laterality as applicable, the patient was prepped and draped in the usual sterile fashion. Local anesthesia was administered with 0.5% bupivacaine. For...
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Article Overview
This article reviews a radiology clinical example involving a CT-guided nerve block injection and the associated CPT coding discussion. It is useful for coders, radiology practices, and billing staff who need to understand the scope of the procedure, the related service categories, and the general guidance addressed in the example.
Why This Topic Matters
It helps readers identify when a nerve block injection case is being discussed in the context of radiology coding and when separate moderate sedation reporting is part of the coding conversation. The article also places the procedure in a broader CPT-oriented discussion that may affect how similar cases are reviewed.
Article Sections
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Clinical Example 2
A case-based radiology example presenting the clinical context, procedure setting, and imaging-guided intervention. It includes the procedural narrative and outcome summary.
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How to Code
A coding-focused section that identifies the relevant reporting considerations for the example. It ties the procedure discussion to the applicable coding framework and service categories.
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Discussion
A broader explanatory section covering the procedure type, its clinical use, and general coding context. It also addresses the relationship between the primary service and related ancillary reporting topics.
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Sources
A list of reference materials and publication sources supporting the article. It provides background citations without adding new coding guidance.
What You Will Learn
- The clinical context for an imaging-guided nerve block injection example
- The general coding topics associated with celiac plexus injection cases
- How the article frames moderate sedation in relation to the main procedure
- The types of reference sources used to support the discussion
Who Should Read This
- Medical coders
- Radiology coders
- Billing staff
- Compliance reviewers
- Clinical documentation reviewers
Codes Discussed
Code Ranges Discussed
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